| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SWEET & BAKER INS. BROKERS, INC.3 Filed as: SWEET & BAKER INSURANCE BROKERS | 44 2ND STREET SAN FRANCISCO, CA 941053440 | KAISER FOUNDATION HEALTH PLAN INC | $30K | $0 | $30K | 3.78% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. INC. | 3390 UNIVERSITY AVE. SUITE 300 RIVERSIDE, CA 925013315 | KAISER FOUNDATION HEALTH PLAN INC | $6K | $0 | $6K | 0.81% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CA INS. SVCS. | PO BOX 2158 RIVERSIDE, CA 925162158 | KAISER FOUNDATION HEALTH PLAN INC | $0 | $1K | $1K | 0.13% |
| SWEET & BAKER INS. BROKERS, INC.3 | 44 2ND STREET SAN FRANCISCO, CA 94105 | HEALTH NET | $37K | $0 | $37K | 4.97% |
| SWEET & BAKER INS. BROKERS, INC.3 Filed as: SWEET & BAKER INSURANCE | 44 2ND STREET SAN FRANCISCO, CA 94105 | DELTA DENTAL OF CALIFORNIA | $3K | $0 | $3K | 2.18% |
| SWEET & BAKER INS. BROKERS, INC.3 Filed as: SWEET & BAKER INSURANCE BROKERS,INC | 44 2ND STREET SAN FRANCISCO, CA 94105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.08% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. | 5375 MIRA SORRENTO PL. #400 SAN DIEGO, CA 92121 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.80% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. | 44 SECOND STREET SAN FRANCISCO, CA 94105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $252 | $0 | $252 | 0.92% |
| SWEET & BAKER INS. BROKERS, INC.3 Filed as: SWEET & BAKER INSURANCE BROKERS,INC | 44 2ND STREET SAN FRANCISCO, CA 94105 | VISION SERVICE PLAN | $882 | $0 | $882 | 5.34% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. | PO BOX 5345 RIVERSIDE, CA 925175345 | VISION SERVICE PLAN | $100 | $0 | $100 | 0.61% |
| SWEET & BAKER INS. BROKERS, INC.3 Filed as: SWEET & BAKER INSURANCE BROKERS,INC | 44 2ND STREET SAN FRANCISCO, CA 94105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $836 | $0 | $836 | 8.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. | 5375 MIRA SORRENTO PL. #400 SAN DIEGO, CA 92121 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $489 | $489 | 5.25% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. | 44 SECOND STREET SAN FRANCISCO, CA 94105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $94 | $0 | $94 | 1.01% |
| SWEET & BAKER INS. BROKERS, INC.3 Filed as: SWEET & BAKER INSURANCE BROKERS,INC | 44 2ND STREET SAN FRANCISCO, CA 94105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $705 | $0 | $705 | 9.10% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. | 5375 MIRA SORRENTO PL. #400 SAN DIEGO, CA 92121 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $421 | $421 | 5.44% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS. | 44 SECOND STREET SAN FRANCISCO, CA 94105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $69 | $0 | $69 | 0.89% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 95 | $1.5M |
| Dental | DELTA DENTAL OF CALIFORNIA | 212 | $117K |
| Vision | VISION SERVICE PLAN | 143 | $17K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 120 | $8K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 120 | $9K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 120 | $27K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 95 | $1.5M |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 120 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 212 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
No prospect flags tripped on this filing.